Active NPI
Judith D. McKenzie, PHYSICAL THERAPIST
- Physical Therapist
- Indianapolis, IN
National Provider Identifier
1043479728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05000535A
- Practice address
- 8020 S Franklin Rd
Indianapolis, IN 46259-7632 - Phone
- (317) 862-9923
- Fax
- (317) 862-9937
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05000535A | IN | Primary |
| Pediatric Physical Therapist | 2251P0200X | 05000535A | IN |
Addresses
Primary practice location
8020 S Franklin Rd
Indianapolis, IN 46259-7632
Mailing address
8020 S Franklin Rd
Indianapolis, IN 46259-7632
Phone (317) 862-9923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200643010 | Medicaid | IN |
Other names 1
- Mrs. Judy McKenzie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05000535A | IN | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie & Associates, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Indianapolis, IN
- NPI 1205958436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1043479728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8020 S FRANKLIN RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462597632",
"telephone_number": "317-862-9923",
"fax_number": "317-862-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8020 S FRANKLIN RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462597632",
"telephone_number": "317-862-9923",
"fax_number": "317-862-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "JUDITH",
"middle_name": "D.",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05000535A",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IN",
"license": "05000535A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200643010",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JUDY",
"last_name": "MCKENZIE",
"prefix": "MRS.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.